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KudoNet xDSL Application Form:

Enclosed is the information about our new xDSL account. Please fill out this form and fax to 408-7441193. Please contact us at 408-7470451 x211 if there is any question. (It takes COVAD three weeks to install your DSL)

Real Name.........
Address 1.........
Address 2.........
City..............
State.............
ZIP...............
Home Phone........
Work Phone........
Fax Number........
E-mail address(if applicable)...
Account Type....................

  

Account type  Speed (U/D)   Setup Fee  Monthly Fee
A.* 144K/144K   $325  $149
B1.** 192K/192K $325  $149
B2.** 384K/384K  $325  $199
B3.** 768K/768K  $325  $299
B4.** 1.1M/1.1M  $325  $399
C. 384K/1.5M $325  $399

. *FloatPoint144 (for A only, provided by COVAD w/ $425+tax)
**FloatPoint2200 (for B1,2,3,4, provided by COVAD w/ $425+tax)

***$225 rebate is available from COVAD until 5/31/00.***

 Number of IP:
IP Method:
1 IP w/ NAT enabled
8 IP w/ NAT disabled

One time charge will be: Description
$425+tax for router (provided by COVAD)
$325   for setup (charged by COVAD)
(-$225)  rebate (offer by COVAD)


Primary Local OS Platform.......

Referred By.....................
Where do you see the ads........

Please enter your comment in the space below:

Name:____________________________________

Signature: ______________________________

Date: _____________

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